DR LARRY O SKELTON MD PC (NPI# 1649458605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649458605 |
| Entity Type | Organization |
| Organization Name | DR LARRY O SKELTON MD PC |
| Practice Address |
16063 Hwy 69 South Moundville AL 35474 |
| Mailing Address |
Po Box 687 Moundville AL 35474 |
| Practice Telephone | 2053712267 |
| Mailing Telephone | 2053712267 |
| Mailing Fax Number | 2053719031 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |
| Authorized Official Name | DR. LARRY O SKELTON (OWNER) |
| Authorized Official Telephone | 20533712267 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 1079822 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 8780 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
16063 HWY 69 SOUTH |
| City | MOUNDVILLE |
| State | AL |
| Zip Code | 35474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760472674 | Heather Phillips Whitley | Pharmacist | 16063 Hwy 69 South, Moundville Medical Center, Moundville, AL 35474 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730655846 | Restore Therapy Services, Ltd. | Physical Therapist | 40890 Alabama Highway 69, Moundville, AL 35474 | 2018-10-16 |
| 1285046110 | Andrea Brown Stringfellow | Nurse Practitioner | 16063 Alabama Highway 69, Moundville, AL 35474 | 2014-05-27 |
| 1700211745 | Encore Rehabilitation, Inc. | Clinic/Center | 50 Wildcat Way, Moundville, AL 35474 | 2013-09-10 |
| 1013032648 | Moundville Medical Plaza Inc. | Pharmacist | 16061 Hwy 69 South, Moundville, AL 35474 | 2007-03-20 |
| 1831139898 | Moundville Health and Rehabilitation, LLC | Skilled Nursing Facility | 121 Union St, Moundville, AL 35474 | 2006-06-07 |
| 1093125874 | Rachel Phillips | Occupational Therapist | 306 Washington St, Livingston, AL 35474 | 2014-05-02 |
| 1427482389 | Francis J Woods Iv | Physical Therapist | 121 Union St, Moundsville, AL 35474 | 2013-08-28 |
| 1942382908 | Clifford Allen Harland Jr. | Pharmacist | 16061 Hwy 69 S Moundville Medical Plaza, Moundville, AL 35474-0551 | 2006-10-19 |
| 1144727231 | Ronaka Latrice Paster | Social Worker | 796 Jamie Ln, Moundville, AL 35474-4286 | 2018-04-06 |
| 1497139497 | Kc Drug Inc | Pharmacy | 40870 Al Highway 69, Ste D, Moundville, AL 35474-4366 | 2015-07-20 |
| Find all providers in zip 35474 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1043810195 | Tempus Primary Care | Family Medicine | 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 | 2020-10-28 |
| 1497354617 | Southcoast Medical Services | Family Medicine | 34463 Us Highway 98 Ste G, Lillian, AL 36549-4049 | 2020-10-19 |
| 1154929131 | Jackson Tuley Cornelison | Family Medicine | 41 Eminence Way Ste A, Pell City, AL 35128-2338 | 2020-10-13 |
| 1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
| 1336752088 | Christy Nicole Johnson | Family Medicine | 634 Drew Dr, Hollywood, AL 35752-6556 | 2020-08-24 |
| 1053920264 | Mms Life, LLC | Family Medicine | 401 Evergreen Ave, Brewton, AL 36426-2066 | 2020-07-24 |
| 1164040986 | Marshall Primary Care | Family Medicine | 7938 Al Highway 69 Ste 350, Guntersville, AL 35976-7135 | 2020-07-08 |
| 1750907507 | Agape Medicine, LLC | Family Medicine | 42598 State Highway 75, Snead, AL 35952-6566 | 2020-06-17 |
| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
| Find all providers with the same taxonomy | ||||
| City | MOUNDVILLE |
| Zip Code | 35474 |
Please comment or provide details below to improve the information on DR LARRY O SKELTON MD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.